By Daniel J. Berry MD, Scott P. Steinmann MD, Paul Tornetta III MD, Thomas A. Einhorn MD
Written by way of major specialists from the Mayo hospital, this quantity of our Orthopaedic surgical procedure necessities Series provides the entire info citizens desire on hip, knee, shoulder, and elbow reconstruction in adults. it might simply be learn hide to hide in the course of a rotation or used for speedy reference earlier than a sufferer workup or operation. The basic, visually stimulating layout positive factors abundant illustrations, algorithms, bulleted lists, charts, and tables.
Coverage of every area comprises actual review and imaging, review and remedy of problems, and operative remedy tools. The huge assurance of operative remedy comprises fundamental and revision arthroplasty and possible choices to arthroplasty.
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Spondyloarthropathies occur in approximately 5% to 14% of HLA-B27–positive individuals. Seronegative spondyloarthropathies can also occur, less commonly, in individuals who are HLA-B27– negative. Pathophysiology Osteoarthritis is a condition that begins as a result of overload of the cartilage. In rare situations there is a true genetic basis to joint destruction in which a generalized joint destruction occurs as a result of a mutation that codes for type II collagen. Much more commonly, the cartilage may be predisposed to damage because of various mechanical conditions in the joint that result in a gradual destruction of the cartilage.
The prosthesis may continue to be well fixed despite the fracture or be loose as a result of the fracture of the surrounding supportive bone. Ancillary Imaging The cause of hip pain can be occult. Additional information not available on plain radiographs oftentimes is required to properly diagnose and treat certain disorders. In these situations, ancillary imaging techniques may be helpful. The most commonly used techniques include computed tomography, magnetic resonance imaging, and bone scintigraphy.
2-12). A common cause of early dislocation is component malposition. AP radiograph should demonstrate approximately 45 degrees of abduction (Fig. 2-13). Assessment of acetabular anteversion can be obtained from a true lateral radiograph. Appropriate acetabular component anteversion is 10 to 30 degrees. Occasionally CT scan to directly demonstrate femoral and acetabular component position may be required. Aseptic loosening (Fig. 2-14) of either the femoral or acetabular components is a common cause of failure of the prosthetic hip.
Adult Reconstruction by Daniel J. Berry MD, Scott P. Steinmann MD, Paul Tornetta III MD, Thomas A. Einhorn MD